Individual Dog Registration Form

ONLY GERMAN SHEPHERD dogs may be registered. A copy of the dog's registration from any FCI Member Kennel Club MUST accompany this application for USCA registration. Copies of USCA recognized working titles, show ratings, breed surveys and hip ratings not already on file with the USCA Office must be submitted with this application or they will not appear on the USCA Registration.

"*" indicates required fields

Gender*
MM slash DD slash YYYY
MM slash DD slash YYYY

Sire Information

Dam Information

Owner Information

Identification

I certify that I have examined the tattoo of this dog.

All dogs registered with USA are required to have positive identification. If the dog is tattooed prior to registration with USA, the tattoo MUST be verified by a USA Tattooer, USA Breed Warden, Licensed Veterinarian, Member of the USA Breed Advisory Committee or Körmeister. Verification of the identification must be submitted to the USA Office before the pedigree will be issued.

Location of Tattoo

Payment

Individual Dog Registration Fee*
Price: $0.00
Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Authenticity*

I understand that any misrepresentation on this application is cause for revocation of the USA dog registration and may result in the loss of all USA privileges which could include expulsion from USA.

I certify that all information on this application is true and correct and that I am the Owner/Co-Owner of the dog on this application. I understand that any misrepresentation on this application is cause for revocation of the USA dog registration and may result in the loss of all USA privileges which could include expulsion from USA.


USCA Individual Dog Registration Application
USCA Individual Dog Registration Application